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Review article

https://doi.org/10.21860/medflum2017_173380

Diabetic gastroparesis - from diagnosis to gastric electrical stimulation treatment

Sanja Klobučar Majanović orcid id orcid.org/0000-0002-0287-4735 ; Department of Endocrinology, Diabetes and Metabolic Diseases, Clinical Hospital Centre Rijeka, Faculty of Medicine, University of Rijeka, Rijeka
Marko Zelić ; Department of Abdominal Surgery, Clinical Hospital Centre Rijeka, Faculty of Medicine, University of Rijeka, Rijeka
Andrej Belančić orcid id orcid.org/0000-0001-7848-6600 ; Faculty of Medicine, University of Rijeka, Rijeka
Neva Girotto ; Clinical Department of Nuclear Medicine, Clinical Hospital Centre Rijeka, Faculty of Medicine, University of Rijeka, Rijeka
Vanja Licul ; Department of Gastroenterology, Clinical Hospital Centre Rijeka, Faculty of Medicine, University of Rijeka, Rijeka
Davor Štimac ; Department of Gastroenterology, Clinical Hospital Centre Rijeka, Faculty of Medicine, University of Rijeka, Rijeka


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Abstract

The most common known underlying cause of gastroparesis is diabetes mellitus. General symptoms and signs include nausea, vomiting, bloating and early satiety. The diagnosis of diabetic gastroparesis (DGP) is closely made based on clinical history, exclusion of gastrointestinal obstruction by endoscopy and abdominal ultrasound, and confirmation of delay in gastric emptying by gastric emptying scintigraphy. First-line interventions for DGP are dietary modifications and prokinetic-antiemetic therapy. In cases resistant to maximal medical therapy, gastric electrical stimulation is indicated.The aim is to alleviate both the severity and frequency of symptoms, improve gastric emptying, ameliorate patient’s nutritional status and to optimize glycemic control.

Keywords

diabetes mellitus, electrical stimulation therapy, gastroparesis, scintigraphy

Hrčak ID:

173380

URI

https://hrcak.srce.hr/173380

Article data in other languages: croatian

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